Policy on Placement in Rotation Sites

Current college policy (P4 course syllabus): “Additionally, student-interns may not be employed at an institution to which they are assigned for rotations until the rotation is successfully completed.”

ACPE Accreditation Standards and Key Elements For the Professional Program in Pharmacy Leading to the Doctor of Pharmacy Degree Draft Standards 2016 10.16: “Remuneration/employment – Students do not receive payment for participating in curricular pharmacy practice experiences, nor are they placed in the specific practice area within a pharmacy practice site where they are currently employed.”

This policy is implemented to protect The University of Texas College of Pharmacy, its students and its preceptor-faculty from real or perceived bias in the rotation evaluation process that could potentially call into question the preceptor-faculty member’s evaluation of a student, or the student’s evaluation of the preceptor, related to any pharmacy practice experience that is part of the pharmacy curriculum. Such bias could compromise pharmacy practice experiences generally, harm relationships between the college, preceptors, and students, and conceivably threaten the college’s accreditation status through ACPE.

For the purpose of this policy, “currently employed, or “current employment” is defined as active employment at a practice site during the time the student is participating in a college-assigned rotation at the practice site. These rotations may be either Introductory (IPPE) or Advanced Pharmacy Practice (APPE) Experiences.

Policy:

1. For any IPPE or APPE placement in a rotation site, any bias, real or perceived, cannot be present, nor influence the student-preceptor interaction, nor bias the evaluation process.

2. Attestations for both students and preceptors will be added to forms and surveys regarding employment, supervision, and the potential for bias in order to guarantee, to the extent possible, that evaluation bias does not occur. If any question as to potential conflict of interest arises, the preceptor or student is required to contact the Assistant Dean for Experiential Programs to secure an opinion.

3. Under no circumstance may a student be evaluated in an IPPE or APPE experience by a preceptor who is or has been involved in the evaluation of that student on an employment basis.

4. For IPPEs, students may not be assigned to a practice site where they are currently employed either as a technician or an intern. In each placement, the college will strive to ensure that a student is placed in a location other than where he or she works. This applies to the physical location, the community chain, or the hospital of employment. In the event that this cannot be avoided due to availability of resources, the student may be placed in another location of a community chain, or in another area of the hospital. An example of this would be the OTC laboratory (IPPE) that occurs only in Walgreens. See also #3 above.

5. For APPEs:

a. Students CANNOT be assigned to a practice site, including the same chain or hospital, where they are currently employed either as a technician or an intern, for any of the four core rotations (Advanced Community, Advanced Hospital, Ambulatory Care or Acute Care) and all selective rotations. For each assignment, the college will consciously place students in a location other than where he or she has worked. This applies to the physical location, the community chain, or the hospital of employment. The only exception would be if the type of core rotation needed does not exist in any other facility in the region to which the student is assigned. For example, a student may have been or is currently employed at a hospital in the inpatient pharmacy; however, this hospital is the sole source of acute care rotations for that region. In this case, the student may be assigned to this hospital, but must not be evaluated by, nor his or her rotation evaluation receive any input from, any pharmacist or other person involved currently or previously in that student’s employment evaluation. These types of situations must be revealed and acknowledged prior to, or at the very latest at the time of, placement. See also #3 above.

b. The policy described in 5.a. also applies generally to elective rotations. To reiterate, for each assignment, the college will consciously place students in a location other than where he or she has worked. This applies to the physical location, the community chain, or the hospital of employment. The only exception to this would be a rotation that may occur, for example, in the same chain for which the student currently works. However, that rotation would not be one of the four core rotations or a selective rotation, would not be in a physical location in which the student has worked or currently worked, and would not be supervised, nor any input into the rotation evaluation be given, by anyone previously or currently involved in the evaluation of that student in an employment capacity. An example of this might be a management or leadership rotation in a community chain or hospital. These types of situations must be revealed and acknowledged prior to, or at the very latest at the time of, placement. See also #3 above.

6. Students or preceptors who are found to have falsified information in attestations, or otherwise are believed to have exhibited bias in the evaluation process, either pre-rotation or post-rotation, risk sanctions from the College of Pharmacy, including but not limited to:

– Students may fail a rotation, with delayed graduation and other implied penalties, including referral for unprofessional conduct. – Preceptors may lose preceptor

-faculty status with the College of Pharmacy.

7. Students may not be placed in the same type of rotation twice (for example, two community rotations or two hospital rotations). The purpose of rotations is to expose students to a number of different practice settings and experiences, which would not occur if a student repeats experiences. The only exception to this is the three research rotations required of students in the Pharm.D./Ph.D. program.

8. Student requests for a change in rotation placement either before or during the APPE year must be initiated at least 12 weeks prior to the start of the rotation for which the change is being requested. Such changes must include an articulation of the reason for requesting the change. Regional faculty reserve the right to make rotation changes at any time and for any reason deemed necessary.

APPROVED Dean M. Lynn Crismon May 15, 2014


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Texas Pharmacy: The University of Texas at Austin College of Pharmacy